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The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know

The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know

July 19, 2021Dave HalpertNo CommentsRoji Health IntelligenceMedicare ACOs/MSSPRoji Health Intelligence

After the 2020 election, we predicted seven trends to expect in Value-Based Care. Our forecasts were right on track. Last week the Biden Administration released its first Physician Fee Schedule and Quality Payment Program Proposed Rule, a 1,747-page document that promotes restructured value-based care initiatives. As we predicted, it recognizes both a significant health equity gap and a lack of useful data available to healthcare consumers as major challenges to overcome.

We’re highlighting the seven biggest takeaways from the newly proposed Rule. Here’s the short version: The bar is higher, with substantial MIPS scoring changes ahead, and providers and organizations will have to prepare for a massive update to quality measurement and reimbursement in 2023, while at the same time keeping afloat in 2022 as cost score increases kick in.

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: 2022 PFS, ACOs, CEHRT, CMS, COVID-19, data exchange, health equity strategies, Medicare, MIPS Value Pathways, MSSP, MVPs, patient-reported outcomes, Physician Fee Schedule, QPP Proposed Rule, Quality Reporting

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